CPT 94762
Global XXX ActiveN-invas ear/pls oximtry cont
This code does not have a national work RVU on the current Physician Fee Schedule. Pricing may be carrier-determined, non-covered, or tracked via a separate methodology.
CPT 94762 Billing & Documentation Guide
CPT code 94762 (N-invas ear/pls oximtry cont) is classified under Pulmonary with a global period indicator of XXX. This code uses the No national RVU payment methodology rather than standard RVU-based Physician Fee Schedule pricing. Refer to the methodology notice above for billing implications.
When billing 94762, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 94762 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 94762 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
2026 Medicare Reimbursement by State, CPT 94762
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $28.24 | $28.24 | $26.17 - $34.38 | 29 |
| Florida | $24.44 | $24.44 | $23.17 - $25.53 | 3 |
| Georgia | $23.03 | $23.03 | $21.55 - $24.5 | 2 |
| Illinois | $23.55 | $23.55 | $22.17 - $24.95 | 4 |
| Michigan | $22.74 | $22.74 | $22.03 - $23.45 | 2 |
| North Carolina | $22.34 | $22.34 | $22.34 - $22.34 | 1 |
| New York | $26.91 | $26.91 | $22.76 - $28.82 | 5 |
| Ohio | $21.99 | $21.99 | $21.99 - $21.99 | 1 |
| Pennsylvania | $23.59 | $23.59 | $22.09 - $25.09 | 2 |
| Texas | $23.66 | $23.66 | $21.89 - $25.39 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 94762
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 94762 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0733T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 82805 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 98975 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 98976 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 98977 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 99201 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99201 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 94762
What does CPT code 94762 mean? +
CPT code 94762 represents: N-invas ear/pls oximtry cont. It's in the Pulmonary category with a global period of XXX.
What is the Medicare reimbursement for CPT 94762? +
The 2026 Medicare national average non-facility payment for CPT 94762 is $25.04. Rates range from $20.54 to $34.38 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 94762? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 94762? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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